This week in Foot & Ankle

Oct 19–25, 2026 · 1 randomized trial, 2 new studies, 7 reviews · Foot & Ankle archive · All weeks

The new Foot & Ankle research The Reduction sent the week of Oct 19–25, 2026, with the week’s most recent reviews, each with a one-line summary.

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Randomized trials

  1. To Walk or Not? A Prospective, Randomised Controlled Trial to Evaluate the Effect of Weightbearing on Patient Outcomes Following First Metatarsophalangeal Joint Fusion.RCT

    Foot & Ankle International · Oct 09 2026 · PubMed

    In a 68-patient randomized trial, immediate weightbearing after first MTP fusion gave pain, function, satisfaction, and complication outcomes similar to non-weightbearing, supporting more permissive postoperative protocols.

New research

  1. Adjunct rim plating for selected pilon fracture patterns: Lessons from hyperextension tibial plateau fractures.

    Injury · Oct 14 2026 · PubMed

    Narrative review proposing adjunct rim plating, borrowed from hyperextension tibial plateau fractures, to buttress small anterior or anterolateral marginal fragments in select pilon fractures that standard periarticular plates may not capture.

  2. General Anesthesia vs Monitored Anesthesia Care With Local Anesthetic Infiltration (MAC-VL) for Ankle Fracture Open Reduction and Internal Fixation: Impact on Recovery Metrics and Safety.

    Foot & Ankle International · Oct 09 2026 · PubMed

    In a retrospective study of 159 outpatient ankle ORIFs, monitored anesthesia care with high-volume low-concentration local infiltration shortened discharge time by about 55 minutes versus general anesthesia, with no other significant outcome differences.

Recent reviews

  1. Idiopathic Talipes Equinovarus: Current Concepts.

    Journal of the American Academy of Orthopaedic Surgeons · Dec 15 2025 · PubMed

    Concise review of idiopathic clubfoot covering pathophysiology and anatomy, emphasizing largely nonsurgical treatment soon after birth, with surgery reserved for late-presenting or recurrent cases.

  2. Diagnostic domains, differential diagnosis and conditions requiring further medical attention that are considered important in the assessment for Achilles tendinopathy: a Delphi consensus study.

    British Journal of Sports Medicine · Jun 18 2025 · PubMed

    A 52-participant Delphi consensus defined essential diagnostic domains, 15 differential diagnoses, and six red-flag conditions to consider when assessing Achilles tendinopathy, aiming to standardize diagnosis in practice and research.

  3. The impact of diabetes mellitus on the management and outcome of ankle fractures.

    Injury · Apr 2025 · PubMed

    Narrative review of how diabetes impairs bone healing and raises risks of nonunion, malunion, infection, amputation, and mortality in ankle fractures, urging careful weighing of surgical versus conservative treatment.

  4. Arthrodesis for Hallux Rigidus.

    Foot & Ankle Clinics · Sep 2024 · PubMed

    Review of first MTP joint arthrodesis for hallux rigidus: favorable long-term outcomes and low revision rates when fusion succeeds, but interphalangeal arthritis, nonunion, and malunion occur, so patient selection matters.

  5. Effect of Braces on Performance in the Context of Chronic Ankle Instability.

    Foot & Ankle Clinics · Mar 2023 · PubMed

    For patients with chronic ankle instability, limited research suggests semirigid, lace-up, or soft-shell braces do not impair performance and may improve jumping, hopping, and dynamic balance.

  6. Fifth Metatarsal Jones Fractures: Diagnosis and Treatment.

    Journal of the American Academy of Orthopaedic Surgeons · Feb 15 2022 · PubMed

    Review of fifth metatarsal Jones fracture classification, diagnosis, and treatment, covering nonoperative care, intramedullary screw and plate fixation, biologic augmentation, refracture, and rehabilitation, with emphasis on the authors' screw technique.

  7. Sinus Tarsi Approach for Calcaneal Fractures: The New Gold Standard?

    Foot & Ankle Clinics · Dec 2020 · PubMed

    This review argues the less invasive sinus tarsi approach, with fewer complications than the extensile lateral approach, may now be the new gold standard for displaced intra-articular calcaneal fractures.

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